We help healthcare organizations understand and capitalize on the opportunities that exist in a dynamic and evolving marketplace. We can help you respond effectively to regulatory mandates, operate more efficiently, and transform your business to remain competitive.

Chart a new courseThe Patient Protection and Affordable Care Act introduced one of the most significant changes to the healthcare landscape in years—new marketplaces through which individuals may obtain medical and dental insurance. Dental payers, which have traditionally served commercial customers, face critical decisions: Will you participate in these new markets, and how? Will you build out your own e-commerce capabilities or join in private or federal facilitated exchanges?

Whether you are contemplating these questions or moving fast to implement your new consumer strategy, we can help.

Deep dental payer experienceWe have helped many leading dental payer organizations develop and execute strategies for responding to transformational change. Whether your goal is to think strategically about member engagement strategies or prepare to participate in new health insurance exchanges, we offer the dental payer experience and resources you need to accomplish your goals.

We understand the forces driving reform and the changes taking place in your marketplaceOur experience enables us to translate this knowledge into winning strategies for your business in the form of facilitating strategic discussions, developing practical business and technology solutions, fostering technology innovation, and leading your organization through change.

Our skilled team has dental payer experience related to:

Strategies for participating in health insurance marketplaces

Guidance on healthcare reform (EHB offerings on and off-exchange, individual)

How will you manage unprecedented change and transformation?While some questions around federal reform remain, many mandates and changes are already in play, requiring forward thinking and immediate action. Most immediately, healthcare payers must be ready to begin enrolling individuals—for many, an entirely new customer segment—through new private and federal-facilitated exchanges.

Whether you need help with broad transformation or specific changes required by healthcare reform, such as retooling your contact center capabilities, we can help. Our healthcare payer practice works with a wide array of payer organizations to understand opportunities in this evolving marketplace, define a competitive and profitable path forward, and transform their businesses to capture additional market share.

Develop winning strategiesOur experience enables us to translate knowledge into winning strategies—from facilitating strategic discussions to developing practical business and technology solutions to leading your organization through change.

Our skilled team has healthcare payer consultants can assist with:

Strategies for participating in health insurance marketplaces

Business transformation and complex program management

Contact center and customer experience enhancement, including strategies for marketing to new customer segments to support exchange offerings

Confront change, emerge as a leaderRespond effectively to regulatory mandates. Operate more efficiently—and nimbly. Raise your competitive position as the industry shakes out. How can our payer industry experience help your organization navigate change and emerge as a leader?

Population Health

Positioned for success in a growing marketMore and more, as employer groups and health insurance brokers confront cost and quality challenges, they will choose health plans and programs with proven population health and wellness models that promote healthy lifestyles and stop—or ideally reverse—migration of health risks.

If you are developing or refining your core capabilities and offerings for this growing market, we can help.

Experienced support—from strategy to successful interventionWe work with a variety of accountable care organizations to develop competitive strategies and capabilities for addressing population health—while simultaneously addressing goals for cost control and clinical outcome.

Introducing new mobile technology solutions that enable you to reach individual consumers who favor those channels—as a means of delivering more effective intervention programs

The time is now
Cost-containment and pending introduction of health insurance exchanges are among the factors creating a growing demand for population health services. Are you ready to meet the demand?